Storm Lake, IA ·
OSHA Injury Report: Storm Lake - Main Store
Injury · Other recordable case
At a glance
On , an injury at Storm Lake - Main Store in 6082 Westown Parkway, Storm Lake, IA 50588 resulted in other recordable case. Employee was cstore Dept Mgr H in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Storm Lake - Main Store
- Parent company
- HYVEE INC
- Street
- 6082 Westown Parkway
- City
- Storm Lake
- State
- IA
- ZIP
- 50588
- On-site location
- Outside main store
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was carrying boxes of donuts from a vehicle in the front of the main store tripped over grill hitch
What happened
Employee was carrying boxes of donuts from a vehicle in the front of the main store tripped over grill hitch fell onto concrete injuring both arms and knees
Injury or illness
INJURY TYPE: Strain || BODY PART(S) AFFECTED: Multiple Upper Extremities
Object or substance involved
Carrying boxes of donuts
Summary line
Contusions to both knees and right elbow from fall on concrete.
Employee and industry
- Job description
- Cstore Dept Mgr H
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 136
- Hours worked at this establishment (2024 total)
- 152,350
- EIN
- 420325638
- Establishment ID
- 1028491
- Employer case #
- 2024-4
When (timing detail)
- Date of incident
- Shift started
- 04:45
- Time of incident
- 05:45
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at Storm Lake - Main Store
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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